Combination Chemotherapy Plus Radiation Therapy in Treating Patients With Metastatic Rhabdomyosarcoma or Sarcoma
Sarcoma
About this trial
This is an interventional treatment trial for Sarcoma focused on measuring embryonal childhood rhabdomyosarcoma, alveolar childhood rhabdomyosarcoma, metastatic childhood soft tissue sarcoma, childhood malignant mesenchymoma, previously untreated childhood rhabdomyosarcoma, adult rhabdomyosarcoma, adult malignant mesenchymoma, stage IV adult soft tissue sarcoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed metastatic stage IV/clinical group IV rhabdomyosarcoma, undifferentiated sarcoma, or ectomesenchymoma No metastatic embryonal tumors in patients under 10 years of age, regardless of primary site Metastatic tumors of parameningeal sites eligible Bidimensionally measurable disease No positive cerebrospinal fluid cytology or multiple intracranial metastases Patients presenting with the following are only eligible for continuation therapy and may not receive irinotecan/vincristine upfront window therapy: Evidence of base of skull erosion or skull metastatic disease that displaces or indents the dura, compresses the brain parenchyma, or causes evidence of cranial nerve palsy Tumor that touches or displaces the spinal cord Evidence of intracranial primary tumor extension Tumors that could cause potentially life-threatening complications (e.g., renal, airway) with progression due to location and/or growth rate Requires emergency radiotherapy Lab values are consistent with disseminated intravascular coagulation PATIENT CHARACTERISTICS: Age: Under 50 (alveolar rhabdomyosarcoma, undifferentiated sarcoma, and ectomesenchymoma patients) 10 to 49 (embryonal histology patients) Performance status: Not specified Life expectancy: Not specified Hematopoietic: See Disease Characteristics Absolute neutrophil count greater than 1,000/mm^3* Platelet count greater than 150,000/mm^3* NOTE: *Unless there is tumor involvement of bone marrow Hepatic: Bilirubin less than 1.5 mg/dL PT, PTT, and fibrinogen less than 1.5 times upper limit of normal Renal: Creatinine less than 1.2 mg/dL Other: Not pregnant or nursing Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy Endocrine therapy: Prior steroids allowed Radiotherapy: See Disease Characteristics No prior radiotherapy Surgery: No more than 42 days since prior initial surgical procedure, including biopsy for diagnosis
Sites / Locations
- University of Alabama at Birmingham Comprehensive Cancer Center
- University of South Alabama Cancer Research Institute
- Phoenix Children's Hospital
- Arizona Cancer Center at University of Arizona Health Sciences Center
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
- Southern California Permanente Medical Group
- City of Hope Comprehensive Cancer Center
- Rebecca and John Moores UCSD Cancer Center
- Loma Linda University Cancer Institute at Loma Linda University Medical Center
- Jonathan Jaques Children's Cancer Center at Miller Children's Hospital
- Children's Hospital Los Angeles
- Cedars-Sinai Comprehensive Cancer Center at Cedars-Sinai Medical Center
- Jonsson Comprehensive Cancer Center, UCLA
- Children's Hospital Central California
- Children's Hospital and Research Center at Oakland
- Chao Family Comprehensive Cancer Center at University of California Irvine Cancer Center
- Children's Hospital of Orange County
- Lucile Packard Children's Hospital at Stanford University Medical Center
- Sutter Cancer Center
- University of California Davis Cancer Center
- Kaiser Permanente Medical Center - Sacramento
- Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego
- Children's Hospital and Health Center, San Diego
- UCSF Comprehensive Cancer Center
- Santa Barbara Cottage Hospital
- Kaiser Permanente Medical Center - Santa Clara
- David Grant Medical Center
- Children's Hospital of Denver
- Presbyterian - St. Luke's Medical Center
- University of Connecticut Comprehensive Cancer Center at University of Connecticut Health Center
- Yale Comprehensive Cancer Center
- Alfred I. duPont Hospital for Children
- Lombardi Cancer Center at Georgetown University Medical Center
- Children's National Medical Center
- Walter Reed Army Medical Center
- Broward General Medical Center
- Children's Hospital of Southwest Florida
- Shands Cancer Center at the University of Florida Health Science Center
- Joe DiMaggio Children's Hospital at Memorial
- Nemours Children's Clinic
- Jackson Memorial Hospital
- Miami Children's Hospital
- Baptist Hospital of Miami
- Florida Hospital Cancer Institute
- Nemours Children's Clinic-Orlando
- Sacred Heart Children's Hospital
- All Children's Hospital
- St. Joseph's Children's Hospital
- St. Mary's Hospital
- AFLAC Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta - Scottish Rite Campus
- MBCCOP-Medical College of Georgia Cancer Center
- Medical Center of Central Georgia
- Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
- Cancer Research Center of Hawaii
- MBCCOP - Hawaii
- Tripler Army Medical Center
- Mountain States Tumor Institute - Boise
- University of Chicago Cancer Research Center
- Rush University Medical Center
- University of Illinois Medical Center
- Children's Memorial Hospital - Chicago
- Advocate Hope Children's Hospital
- Lutheran General Cancer Care Center
- Saint Jude Midwest Affiliate
- Southern Illinois University School of Medicine
- Riley Children Cancer Center at Riley Hospital for Children
- St. Vincent Hospital and Health Care Center
- Blank Children's Hospital
- John Stoddard Cancer Center at Iowa Methodist Medical Center
- Holden Comprehensive Cancer Center at University of Iowa
- Wesley Medical Center
- Markey Cancer Center at University of Kentucky Chandler Medical Center
- Kosair Children's Hospital
- MBCCOP - LSU Health Sciences Center
- Tulane Cancer Center at Tulane University Hospital and Clinic
- Children's Hospital of New Orleans
- Ochsner Clinic Foundation
- Eastern Maine Medical Center
- Maine Children's Cancer Program
- Greenebaum Cancer Center at University of Maryland Medical Center
- Sinai Hospital of Baltimore
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- Floating Hospital for Children
- Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
- Baystate Regional Cancer Program at Baystate Medical Center
- University of Massachusetts Memorial Medical Center - University Campus
- University of Michigan Comprehensive Cancer Center
- Children's Hospital of Michigan
- Josephine Ford Cancer Center at Henry Ford Hospital
- Van Elslander Cancer Center at St. John Hospital and Medical Center
- Hurley Medical Center
- Spectrum Health and DeVos Children's Hospital
- Bronson Methodist Hospital
- Breslin Cancer Center at Ingham Regional Medical Center
- CCOP - Beaumont
- William Beaumont Hospital - Royal Oak
- St. Mary's - Duluth Clinic Cancer Center
- Children's Hospitals and Clinics - Minneapolis
- Mayo Clinic Cancer Center
- Children's Hospitals and Clinics - Minnesota
- University of Mississippi Medical Center
- Children's Mercy Hospital
- Cardinal Glennon Children's Hospital
- St. Louis Children's Hospital
- Children's Hospital of Omaha
- UNMC Eppley Cancer Center at the University of Nebraska Medical Center
- Sunrise Hospital and Medical Center
- Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
- Cancer Center at Hackensack University Medical Center
- Cancer Institute of New Jersey at Robert Wood Johnson University Hospital
- Newark Beth Israel Medical Center
- St. Joseph's Hospital and Medical Center
- Valerie Fund Children's Center at Atlantic Health
- University of New Mexico Cancer Research and Treatment Center
- Cancer Center of Albany Medical Center
- Albert Einstein Clinical Cancer Center
- Brooklyn Hospital Center
- SUNY Downstate Medical Center
- Brookdale University Hospital and Medical Center
- Comprehensive Cancer Center at Maimonides Medical Center
- Roswell Park Cancer Institute
- North Shore University Hospital
- Schneider Children's Hospital
- Memorial Sloan-Kettering Cancer Center
- New York Weill Cornell Cancer Center at Cornell University
- Mount Sinai School of Medicine
- Herbert Irving Comprehensive Cancer Center at Columbia University
- James P. Wilmot Cancer Center at University of Rochester Medical Center
- Long Island Cancer Center at Stony Brook University Hospital
- University Hospital at State University of New York - Upstate Medical University
- New York Medical College
- Mission Hospitals
- Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
- Blumenthal Cancer Center at Carolinas Medical Center
- Presbyterian Healthcare
- Duke Comprehensive Cancer Center
- Leo W. Jenkins Cancer Center of University Health Systems of Eastern Carolina
- Comprehensive Cancer Center at Wake Forest University
- Dakota Cancer Institute at Innovis Health - Dakota Clinic
- Children's Hospital Medical Center of Akron
- Cincinnati Children's Hospital Medical Center
- Ireland Cancer Center
- Cleveland Clinic Taussig Cancer Center
- Children's Hospital of Columbus
- Children's Medical Center - Dayton
- Toledo Children's Hospital
- St. Vincent Mercy Medical Center
- Forum Health-Tod Childrens Hospital
- Children's Hospital at Oklahoma University Medical Center
- CCOP - Oklahoma
- Natalie Warren Bryant Cancer Center
- CCOP - Columbia River Oncology Program
- Legacy Emanuel Hospital and Health Center & Children's Hospital
- Doernbecher Children's Hospital at Oregon Health & Science University
- Geisinger Medical Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Children's Hospital of Philadelphia
- St. Christopher's Hospital for Children
- Children's Hospital of Pittsburgh
- Rhode Island Hospital
- Hollings Cancer Center at Medical University of South Carolina
- Palmetto Health South Carolina Cancer Center
- Children's Hospital of Greenville Hospital System
- Avera Cancer Institute
- Sioux Valley Hospital at University of South Dakota Medical Center
- East Tennessee State University Cancer Center at Johnson City Medical Center
- East Tennessee Children's Hospital
- St. Jude Children's Research Hospital
- Vanderbilt Children's Hospital
- Texas Tech University Health Sciences Center School of Medicine
- Children's Hospital of Austin
- Medical City Dallas Hospital
- Simmons Cancer Center at University of Texas Southwestern Medical Center - Dallas
- Cook Children's Medical Center - Fort Worth
- University of Texas Medical Branch
- University of Texas - MD Anderson Cancer Center
- Baylor College of Medicine
- San Antonio Military Pediatric Cancer and Blood Disorders Center
- Covenant Children's Hospital
- University of Texas Health Science Center at San Antonio
- MBCCOP - South Texas Pediatrics
- Methodist Cancer Center at Methodist Specialty and Transplant Hospital
- CCOP - Scott and White Hospital
- Center for Cancer Prevention and Care at Scott and White Clinic
- Huntsman Cancer Institute
- Vermont Cancer Center at University of Vermont
- Cancer Center at the University of Virginia
- Inova Fairfax Hospital
- Children's Hospital of the King's Daughters
- Naval Medical Center, Portsmouth
- Massey Cancer Center at Virginia Commonwealth University
- Carilion Medical Center for Children
- Children's Hospital and Regional Medical Center - Seattle
- Fred Hutchinson Cancer Research Center
- Group Health Central Hospital
- Deaconess Medical Center
- Mary Bridge Children's Hospital and Health Center
- Madigan Army Medical Center
- West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division
- Cabell Huntington Hospital
- West Virginia University Hospitals
- Bellin Memorial Hospital
- CCOP - St. Vincent Hospital Cancer Center, Green Bay
- St. Vincent Hospital
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- University of Wisconsin Comprehensive Cancer Center
- Marshfield Clinic
- CCOP - Marshfield Clinic Research Foundation
- Midwest Children's Cancer Center
- Sydney Children's Hospital
- Children's Hospital at Westmead
- Royal Children's Hospital
- Women's and Children's Hospital
- Royal Children's Hospital
- Princess Margaret Hospital for Children
- Alberta Children's Hospital
- Cross Cancer Institute
- British Columbia Children's Hospital
- CancerCare Manitoba
- Janeway Children's Health and Rehabilitation Centre
- IWK Health Centre
- McMaster Children's Hospital at Hamilton Health Sciences
- Children's Hospital of Western Ontario
- Children's Hospital of Eastern Ontario
- Hospital for Sick Children
- McGill University Health Center - Montreal Children's Hospital
- Hopital Sainte Justine
- Centre de Recherche du Centre Hospitalier de l'Universite Laval
- Allan Blair Cancer Centre at Pasqua Hospital
- Saskatoon Cancer Centre
- Academisch Ziekenhuis Groningen
- Starship Children's Hospital
- Puerto Rico Cancer Center at University of Puerto Rico - Medical Sciences Campus
- San Jorge Childrens Hospital
- Swiss Pediatric Oncology Group Bern
- Swiss Pediatric Oncology Group Geneva
- Swiss Pediatric Oncology Group Lausanne